Stephen Rachel O'Brien, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013090 Issued in MI

Practice address

4250 N Saginaw St Ste C
Flint, MI 48505-5332

Phone

(810) 406-9466

NPI assigned

Jul 16, 2014

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Optima Home Health Care LLC

  • Home Health Agency
  • Flint, MI
  • NPI 1750975942

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optima Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Flint, MI
  • NPI 1972137156
  Medicare reassignment Authorized official
• Optima Home Health Care LLC

  • Home Health Agency
  • Flint, MI
  • NPI 1750975942
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1346657863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 EMERALD DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397809",
            "telephone_number": "810-406-9466",
            "fax_number": "810-603-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 N SAGINAW ST STE C",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485055332",
            "telephone_number": "810-406-9466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6206 Emerald Dr",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484397809",
            "country_code": "US",
            "telephone_number": "810-406-9466",
            "fax_number": "810-603-2509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "STEPHEN",
        "middle_name": "RACHEL",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-16",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chipo Nyasvisvo, MD
• Daeshawna Nye, PRC
• Rebecca Gail Nyhof
• Meaghan O'Berry, LMSW
• Jennifer O'Brien
• Erin G O'Connor, PHD, LP
• Payge O'Neil
• Avery Oakes
• Oakland Medical Group PC (Greater Genesee MRI Imaging Center)
• Oakland Psychological Clinic, P.C.

• Physical Therapist in Flint, MI
• Providers in Flint, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.